Heidi Lee Thompson, P.T.A.

NPI #1982690137 in Shawano, Wisconsin

Provider Information

NPI Number: 1982690137
Entity Type: Individual
Name: Heidi Lee Thompson, P.T.A.
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Physical Therapy Assistant
Credential: P.T.A.
Enumeration Date: Sep 23, 2005
Last Updated: Jul 8, 2007

Practice Location

Address: 116 N MAIN ST
City: Shawano
State: Wisconsin
ZIP Code: 54166-2356
Phone: (715) 526-7370

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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